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Communication is the power to connect.

Our clinic strives to help individuals with IDD lead a safe and independent life by addressing swallowing disorders, communication, pragmatics, reading, writing, stuttering, and cognition.

We help our clients gain or reclaim the power of communication by identifying ways to help them better interact with the world around them.


Communication is a basic human right.

Being able to communicate wants, needs, thoughts, interests, ideas, feeling, and dreams, while being able to understand what is going on in the world around you are basic human rights. Being able to swallow and eat safely is essential. Most people take for granted the ability to ask for what they want or reject what they don’t want. Communication is power. We can control our lives through communication. Our patients often do not have this power. They rely on others to interpret or guess what they want or need or how they feel. They may not get their basic needs met because they cannot communicate in a way others can understand. We help them to gain independence and the power of some feeling of control over their lives through communication in different forms.


Strategizing and problem-solving

Our goal is to work with the individual and caregiver to find out how to help with their unique needs. What works for one person, may not be the key for the next. But like super sleuths, we keep investigating and searching in hopes that we can open new doors of communication for our patients. Both problem-solving and working with the family are necessary to find strategies that can be used to promote confidence and skills in daily living. Each patient and family/caregiver will have their own needs and goals. It may include strategies for altering food intake, introducing a variety of communication options, or using strategies to complete functional activities at home and in the community.


Advocating for our patients

Our therapists and clinicians are not just healthcare providers, we are advocates for our patients. There isn’t only one particular story or just one patient who has made an impact on our lives – it’s every patient, every small success, every caregiver going above and beyond…it’s every story. We are better every day because of our amazing patients.


Prepare before your first visit.

Prior to a patient coming into the facility, they are contacted to ensure the therapist is prepared to assess the primary concern. There will be a short discussion with the family member/caregiver regarding the history of the problem and how it has been addressed. They may be asked to bring records if they have had a Modified Barium Swallow Study or have records from school, etc. Sometimes we request that food is brought with you to be used for the assessment.

Become a New Patient

Welcome to Kramer Davis, we’re so glad you’re here.

Upon entering the clinic, patients and caregivers are welcomed in a calm, clean environment. Our therapists introduce themselves and engage with both the patient & caregiver and find out the details pertinent to the patient’s lifestyle. We use that information to modify the space to meet their particular sensory needs.

Become a New Patient

Evaluating communication skills & discovering history

For the first visit, we focus on an evaluation of our patient’s skills. We begin by going over what we will be doing during the assessment and try to keep our patients as informed as much as possible. We interview the family/caregiver and go over the patient’s history. We may look at articulation, language, cognition, and/or swallowing. We talk through what has been attempted, and what has worked in the past. We go through physical barriers and make the assessments as fun as possible for our patients.

Become a New Patient

Intentionally & effectively communicating every step of the way.

Throughout each appointment, therapists and staff ensure that we communicate each step in a way that our patients can understand (verbal, visual, pictures, communication devices, etc). We discuss specific questions and concerns the patient and family/caregiver may have. We do our best to provide a variety of materials and give our patients choices and independence.

Become a New Patient

Discovering a plan of steps and making progress

The steps and progress plan will depend on each patient’s individual needs. In the case of a communication deficit, we may need to work with the family and introduce a communication style. Sometimes this requires adaptive equipment and a device. We work to help with mastery over several months. With some patients, it may take longer to find a successful communication method due to their physical or cognitive challenges. The steps always are unique and individual to each person. We do everything in our power to discover the resource that will work for their specific needs in order to build their communication and confidence.

Become a New Patient

Going above and beyond your greatest expectations

As you leave, we hope you feel relief. You are not alone. You take a deep breath. The pressure is alleviated, and you know that you have a whole team here working together to coordinate the best possible care and outcome. The therapists, medical professionals, dentists, BCBA, and specialists are all working together with you! You came to the right place. We can look to the future together, with great expectations!

Become a New Patient

Frequently Asked Questions

Our team answers some of our most frequently asked questions in the area of speech language pathology for those with IDD.

There are a lot of different terms used here. Can you define articulation, language, voice, fluency, pragmatics, cognition, and dysphagia?

  • Articulation is speech sound production or how we use sounds to make words.
  • Language is how we express ourselves and understand what is being said to us.
  • Voice includes pitch, tone, and vocal quality (i.e. breathy, hoarse, strained, etc.).
  • Fluency includes stuttering and cluttering (a language-based stuttering issue).
  • Pragmatics is the social use of language.
  • Cognition includes problem-solving, memory, higher-level thinking, attention to task, and reasoning skills.
  • Dysphagia is difficulty swallowing food and/or liquids.

Do they need an MBSS?

The Speech Language Pathologist caring for the patient will determine if a Modified Barium Swallow Study is needed. (A common misconception is that the medical doctor is the one to make this call.)

What should I keep in mind for our visits?

Clear and open communication between the patient, family/caregivers, and therapists is absolutely essential in this field that is all about communication! If the therapist is not aware of issues occurring in the home, they cannot adequately address them in the therapy session. For example, if a client is coughing with every meal, but the caregiver is not relaying that message to the Speech Language Pathologist, an appropriate plan of action cannot be created or implemented.

Please Note: Services may vary for each Kramer Davis clinic location.